Impact of Physician Behavior on Cancer Distress
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Mayo Clinic
- 入组人数
- 5,000
- 试验地点
- 1
- 主要终点
- Patient ratings of contributors to distress
研究概览
简要总结
This evaluates the impact of physician behaviors and other factors experienced during radiation treatment influence distress levels in cancer patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult (age 18+ years old)
- •Must have a diagnosis of neoplasm
- •Must be actively undergoing radiation therapy (RT) or have completed RT within the last month at Mayo Clinic in Rochester
- •Able to read and write in English
- •Must have email and Mayo Clinic patient portal access
排除标准
- •Patients who have not yet started RT
- •Patients who have been seen in consultation but not recommended for radiation
结局指标
主要结局
Patient ratings of contributors to distress
时间窗: Baseline (at enrollment)
Patient ratings of how much sexual health, finances, cancer survival and prognosis, and changes in personal relationship dynamics contribute to their distress will be assessed using a study-specific survey. Each item will be rated on a Likert scale of 0-10 where 0=not at all and 10=very much so. Descriptive statistics will be utilized to analyze results.
Explore what physician behaviors contribute to patients' cancer distress
时间窗: Baseline (at enrollment)
Participants will indicate levels of distress on an 11-point Likert scale (10=extreme distress; 0=no distress). Physician behaviors that contribute to patients' cancer distress (as reported by patients) will be assessed using a free-text question. Topics and contextual factors will be identified by searching for themes with a thematic analysis. Descriptive statistics will be utilized to broadly analyze results. Data will initially be analyzed in its entirety. Subgroup analyses will then be done for patients who have vs have not experienced clinically significant distress (past or current score of 4+ on the distress thermometer). Additional subgroup analyses may be conducted depending on response.
Explore what physician behaviors lessen patients' cancer distress
时间窗: Baseline (at enrollment)
Participants will indicate levels of distress on an 11-point Likert scale (10=extreme distress; 0=no distress). Physician behaviors that lessen patients' cancer distress (as reported by patients) will be assessed using a free-text question. Topics and contextual factors will be identified by searching for themes with a thematic analysis. Descriptive statistics will be utilized to broadly analyze results. Data will initially be analyzed in its entirety. Subgroup analyses will then be done for patients who have vs have not experienced clinically significant distress (past or current score of 4+ on the distress thermometer). Additional subgroup analyses may be conducted depending on response.
Explore how non-physician factors in the patient care experience contribute to patients' cancer distress
时间窗: Baseline (at enrollment)
Participants will indicate levels of distress on an 11-point Likert scale (10=extreme distress; 0=no distress). Other factors that contribute to patients' cancer distress (as reported by patients) will be assessed using a free-text question. Topics and contextual factors will be identified by searching for themes with a thematic analysis. Descriptive statistics will be utilized to broadly analyze results. Data will initially be analyzed in its entirety. Subgroup analyses will then be done for patients who have vs have not experienced clinically significant distress (past or current score of 4+ on the distress thermometer). Additional subgroup analyses may be conducted depending on response.
Explore how non-physician factors in the patient care experience lessen patients' cancer distress
时间窗: Baseline (at enrollment)
Participants will indicate levels of distress on an 11-point Likert scale (10=extreme distress; 0=no distress). Other factors that lessen patients' cancer distress (as reported by patients) will be assessed using a free-text question. Topics and contextual factors will be identified by searching for themes with a thematic analysis. Descriptive statistics will be utilized to broadly analyze results. Data will initially be analyzed in its entirety. Subgroup analyses will then be done for patients who have vs have not experienced clinically significant distress (past or current score of 4+ on the distress thermometer). Additional subgroup analyses may be conducted depending on response.
Patient ratings of preference for physician-initiated conversations
时间窗: Baseline (at enrollment)
Patient ratings of preference for physician-initiated conversations on five sensitive topics: mental health, sexual health, financial health, cancer survival and mortality/prognosis, and personal relationship dynamics will be assessed using a study-specific survey. Responses are recorded on a Likert scale of 0-10 where 0=not at all and 10=very much so. Descriptive statistics will be utilized to analyze results.
次要结局
未报告次要终点